MS. DEBRA G RUSSELL FNP
NPI 1255304440
Nurse Practitioner - Family in Poplar Bluff, MO

Active since February 09, 2006
225 PHYSICIANS PARK STE 203, POPLAR BLUFF, MO 63901(573) 686-4750(573) 686-4753 Get Directions Write a Review

NPPES record last updated: August 31, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Debra G Russell Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DEBRA G RUSSELL FNP (NPI 1255304440) is an individual family provider in Poplar Bluff, Missouri, licensed in Missouri (MO076908) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1255304440
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. DEBRA G RUSSELLCredential: FNP
Location Address225 PHYSICIANS PARK STE 203Poplar Bluff, MO 63901-3921
Mailing AddressPo Box 699Poplar Bluff, MO 63902-0699 · (573) 686-4750 · Fax (573) 686-4753
Fax(573) 686-4753
Sole ProprietorYes
Enumeration DateFebruary 9, 2006
Last NPPES UpdateAugust 31, 2012
NPI 1255304440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · MO076908
225 PHYSICIANS PARK STE 203, Poplar Bluff, MO 63901

Other Identifiers 3

Medicare PINMA1428006MO
Medicare UPINP33358
Medicaid425335809MO

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
225 PHYSICIANS PARK STE 203
POPLAR BLUFF, MO 63901
Nurse Practitioner (Family)
225 PHYSICIANS PARK STE 203
POPLAR BLUFF, MO 63901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Russell's NPI number?

The NPI number for Debra Russell is 1255304440. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Debra Russell located?

Debra Russell practices at 225 Physicians Park Ste 203, Poplar Bluff, MO 63901. The listed phone number is (573) 686-4750.

What is Debra Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Debra Russell was last updated on August 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.